Provider Demographics
NPI:1922448109
Name:RANCHO RX, LLC
Entity Type:Organization
Organization Name:RANCHO RX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:GIORGIANNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-788-6980
Mailing Address - Street 1:3987 RANCHO RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-2821
Mailing Address - Country:US
Mailing Address - Phone:928-788-6980
Mailing Address - Fax:
Practice Address - Street 1:3987 RANCHO RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-2821
Practice Address - Country:US
Practice Address - Phone:928-788-6980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies